10D1032638 CLIA NUMBER - HOLCOMB KREITHEN PLASTIC SURGERY AND MEDSPA PLLC

Laboratory Demographics

  • CLIA Code: 10D1032638
  • Facility Name: HOLCOMB KREITHEN PLASTIC SURGERY AND MEDSPA PLLC
  • Facility Address: 1 S SCHOOL AVE STE 800
    SARASOTA, FL
    ZIP 34237
  • Facility Phone: (941) 365-8679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J DAVID HOLCOMB
  • NPI Number: 1235551359
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1032638
LAB Type Physician Office
Facility Name HOLCOMB KREITHEN PLASTIC SURGERY AND MEDSPA PLLC
Street 1 S SCHOOL AVE STE 800
City SARASOTA
State FL
ZIP 34237
Phone 9413658679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director J DAVID HOLCOMB

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This page was last updated on: 6/29/2026